SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION
3b. Targeted Marketing Activity
HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs · 2026 edition · updated 2026-10-05 · United States
Based on your completed Worksheet 1, indicate which demographic group(s) in the housing market area is/are least likely to apply for the housing without special outreach efforts. (check all that apply) White American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander Hispanic or Latino Persons with Disabilities Families with Children Other ethnic group, religion, etc. (specify) 4a. Residency Preference Is the owner requesting a residency preference? If yes, complete questions 1 through 5. Please Select Yes or No If no, proceed to Block 4b.
(1) Type Please Select Type
(2) Is the residency preference area:
The same as the AFHM Plan housing/expanded housing market area (as determined in Block 1e)? Please Select Yes or No The same as the residency preference area of the local PHA in whose jurisdiction the project is located? Please Select Yes or No
(3) What is the geographic area for the residency preference?
(4) What is the reason for having a residency preference?
(5) How do you plan to periodically evaluate your residency preference to ensure that it is in accordance with the non-discrimination and equal opportunity requirements in 24 CFR 5.105(a)?
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Complete and submit Worksheet 2 when requesting a residency preference (see also 24 CFR 5.655(c)(1) for residency preference requirements. The requirements in 24 CFR 5.655(c)(1) will be used by HUD as guidelines for evaluating residency preference requirements consistent with the applicable HUD program requirements. See also HUD Occupancy Handbook (4350.3) Chapter 4, Section 4.6 for additional guidance on preferences.
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